The objective of this study is to compare wastewater treatment effectiveness in sequencing batch reactor (SBR) and integrated fixed-film activated sludge–moving-bed sequencing batch biofilm reactor (IFAS-MBSBBR) systems in specific technological conditions. The comparison of these two technologies was based on the following assumptions, shared by both series, I and II: the reactor's active volume was 28 L; 8-hour cycle of reactor's work, with the same sequence and duration of its consecutive phases; and the dissolved oxygen concentration in the aerobic phases was maintained at a level of 3.0 mg O2/L. For both experimental series (I and II), comparable effectiveness of organic compound (chemical oxygen demand (COD)) removal, nitrification and biological phosphorus removal has been obtained at levels of 95.1%, 97% and 99%, respectively. The presence of the carrier improved the efficiency of total nitrogen removal from 86.3% to 91.7%. On the basis of monitoring tests, it has been found that the ratio of simultaneous denitrification in phases with aeration to the total efficiency of denitrification in the cycle was 1.5 times higher for IFAS-MBSBBR.